getting started with availity

Getting Started with AvailityFor Amerigroup providers in District of Columbia

October 2017DCPEC-0334-17 October 2017

Compliance, timing, access, training, and internet browser support.© 2017 Availity, LLC. All rights reserved. Confidential and proprietary—do not distribute.2

COMPLIANCE

Screen images and demonstrations are from a demo environment containing pre-

loaded generic, de-identified information.

Each user must have his or her own Availity user ID. It is a violation of HIPAA

regulations to share credentials to a system that contains PII/ PHI.

TIMING

When using the Availity Portal, users are submitting inquiries and viewing results

and information directly from payer systems.

ACCESS

Features and results may vary by payer, plan, product, member, organization

type, additional enrollments, and user permissions. An organization’s

administrator sets up user IDs and assigns permissions to the tools. Payers may

also request to push additional permissions to organizations or users.

TRAINING

Availity Learning trains on Availity tools and how to get to payer-specific third-party

tools and link-outs. For more information about payer tools after linking out from

Availity, visit the payer’s provider site. This information is current as of the date of

publish, and includes full and partial screen images which may or may not be

specific (state, access, or otherwise).

INTERNET BROWSER

Availity supports Internet Explorer 11, Firefox, and Google Chrome.

Multiple payers

One website

One log-in

Secure, compliant network

The Availity Portal

INSIGHT Access many payer-specific tools and third-

party applications quickly using Availity’s single sign-

on (SSO) links. Embedded right at the point of need,

open these tools without having to log in separately.

ORGANIZATION NOT

REGISTERED YET?

Visit availity.com and click

REGISTER to register the

organization first.

© 2017 Availity, LLC. All rights reserved. Confidential and proprietary—do not distribute.

Administrators

After registering, the organization’s

administrators set up users, manage

user access, and maintain organization

information and additional enrollments.


Administrators can use additional options in the

My Account Dashboard on the Home page and

in the My Providers menu. Additional enrollments,

registration, or set up may be needed to use some

tools or payer-specific link-outs.

Self-service is key

ORGANIZATIONS

Every organization has one or more administrator to add and manage users, maintain organization details, and complete set up or enrollments.

USERS

Users have quick access to online help and training to learn basics and best practices while using Availity.

Users can contact the organization’s administrator(s) to get more or different permissions

No need to wait on customer service to reset

passwords and manage users accounts. Users

and administrators have all the power with

integrated options, help, and training.

Need help? Select Help & Training | My Support

Tickets to open a ticket or call 1.800.availity

(1.800.282.4548).


INSIGHT Click My Account to find admins for the

organization. Be sure to allow pop-ups from Availity sites.

TIP Be prepared to change your password every 60-days.

TOOLS AND APPLICATIONS SELECT THIS MENU PATH

Eligibility and Benefits Inquiry Patient Registration | Eligibility and Benefits Inquiry

Authorization Requests Patient Registration | Authorizations & Referrals | Authorizations

Auth/Referral Inquiry Requests Patient Registration | Authorizations & Referrals | Auth/Referral Inquiry

Professional and Facility Claims Claims & Payments | Professional Claim or Facility Claim

Claim Status Inquiry Claims & Payments | Claim Status Inquiry

Medical Attachments (unsolicited)* Claims & Payments | Medical Attachments and then Send Attachment

Payer Spaces Payer Spaces (and then the payer’s logo)

Some options available to users


REMINDER Features and results may vary by payer, plan, product, member, organization type, additional enrollments, and user permissions.

Don’t be afraid to explore additional tools, applications, resources, and more.

*NOTE Organization administrators select My Providers | Enrollments Center, and then Medical Attachments Setup to set up providers and

users to use Medical Attachments.

Logging in

Go to availity.com and select Log in.

Self-service Use self-service options or contact the organization administrator for help with resetting a password or remembering a user ID.

Security matters Availity prompts a user to change his or her password every 60-days.


Home page

• Notification Center

• My Top Applications

• News and Announcements

• Account Dashboard

…and more


Home page options may vary

by region, organization access,

and user account permissions.

Top navigation, first row

• Link to Home page

• Quick view of notifications

• Place to access and manage favorites

• Help & Training menu

• Link to account page


Select Logout when no longer working in the Availity Portal.

More about help and training

Select Help & Training and

then an option.

• Find Help

• Get Trained

• Search Knowledge

• My Support Tickets

• My Learning Plan


New to Availity? Select Help & Training |

My Learning Plan to plot a custom learning

journey. Check out onboarding programs for

new administrators and new users.

More about the account page

My Account page is all about the user

and the organization. Use it to:

• Change the avatar.

• Update user information.

• Find organization administrator

information.

• Manage support tickets.

• Set up a learning plan,

… and more.


Organization administrators can also manage business and team information.

Top navigation, second row

• Patient Registration

• Claims & Payments

• My Providers

• Reporting

• Payer Spaces

• More

…and a great search option.


Options under the menus vary by user

account, region, and provider type. Search

includes Home page, applications, and

payer spaces.

More about payer spaces

Select Payer Spaces and then

select the payer’s logo to access

many important proprietary tools.


Available payer spaces vary by

region, organization access, and

user account permissions.

Availity forms are dynamic

SELECT THE PAYER FIRST GO IN ORDER

© 2017 Availity, LLC. All rights reserved. Confidential and proprietary—do not distribute.14

PARITAL

EXAMPLE

OF AN E&B

PAGE

PARITAL

EXAMPLE

OF AN E&B

PAGE

Example – Patient Registration menu


Example – new eligibility and benefits request


Example – eligibility and benefits inquiry result


Example – Authorizations & Referrals landing page


Example – Claims & Payments menu


Example – Claim Status Inquiry


Example – Claim Status Inquiry Results


Example – Claim Status Detail


Example – Professional Health Care Claim


Example – Claim Response Detail


Example – Medical Attachments | Send Attachment


Example – Medical Attachments | Requests | History


Expert time-saving tips


Looking for healthcare education and to earn continuing education credits? Check the Availity Learning Center (ALC) Store. Select Help

& Training | Get Trained. The ALC Catalog opens in a new browser tab. Select Store to search for free and reasonably priced

healthcare education courses by keyword or category.

Express entry When completing forms in Availity, select a provider from express entry. To add providers to an organization’s

express entry list, select My Providers | Express Entry. Add them one at a time or import a spreadsheet.

Favorites Select heart icons next to most-used tools to mark them as favorites. Then, select My Favorites to quickly access

and manage them.

Search Can’t find an application or resource? Remember to use the search feature.

Training Need in depth training about a specific Availity tool? Select Help & Training | Get Trained.

Explore Availity works closely with health plans to integrate additional third-party tools and apps into your workflow. See a

see a button or link? Don’t be afraid to select it to explore.

Thank you!Contact 1.800.282.4548, or select Help & Training | My Support Tickets, for additional assistance. Select Help & Training | Get Trained for additional on-demand training.

© 2017 Availity, LLC. All rights reserved. Confidential and proprietary—do not distribute.28

getting started with availity

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